2006 Fiscal Year Final Research Report Summary
A pilot survey for 360 degree evaluation, the meaning of patient's satisfaction for residents
| Project/Area Number |
16590425
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Saga University |
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Principal Investigator |
ODA Yasutomo Saga University, Faculty of Medicine, Associate Professor (60253621)
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| Co-Investigator(Kenkyū-buntansha) |
EMURA Sei Saga University, Faculty of Medicine, Associate Professor (90274589)
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| Project Period (FY) |
2004 – 2006
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| Keywords | evaluation of residency training / 360 degree evaluation / patient satisfaction / American Board of Internal Medicine |
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| Research Abstract |
To develop evaluation method for postgraduate clinical training obligated in 2004, we surveyed outpatient's satisfaction who received residents' examination by using PSQ (Patient Satisfaction Questionnaire developed by American Board of Internal Medicine). Other evaluation items by attending doctors, nurses and office workers were included in this study to confirm the validity of the PSQ, and develop 360 degree evaluation form.
The object of this PSQ survey was new adult patients who visited general medicine clinic at Saga Medical School Hospital and received resident's examination. For clinical competence of residents evaluated by attending doctor RIME scale (developed at university of Illinois, USA)
As a result of survey, 490 PSQ and same number of RIME for 21 residents were obtained. With this data, we verified (1) internal consistency of 10 items of PSQ by Chronbach alpha, (2) the effect of patient anticipation of patient-doctor relationship using four models of Emanuel & Emanual, 1992, (3) correlation between average PSQ score and average RIME score in each resident, and it showed validity of PSQ.
Then, we found some factors which influence residents' performance in patient examination such as case specificity, past experience of same case and also residents' stress and strain under the clinical training. To establish the method of objective evaluation, we need further research.
We could not finish making 360 degree evaluation model in the survey period, however, it carried out the pilot study.
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